Psychometric Evaluation of a Turkish Version of the Diabetes Fear of Self-injecting and Self-testing Questionnaire (D-FISQ).
10.1016/j.anr.2016.06.001
- Author:
Selda CELIK
1
;
Rukiye PINAR
Author Information
1. Endocrinology and Metabolism Division, Istanbul University Faculty of Medicine, Istanbul, Turkey.
- Publication Type:Evaluation Studies ; Original Article
- Keywords:
diabetes;
fear;
injection;
insulin;
reliability;
validity
- MeSH:
Anxiety/etiology;
Blood Glucose Self-Monitoring/psychology;
Diabetes Mellitus, Type 1/drug therapy/*psychology;
Diabetes Mellitus, Type 2/drug therapy/*psychology;
*Fear;
Female;
Humans;
Hypoglycemic Agents/administration & dosage;
Injections/psychology;
Insulin/administration & dosage;
Male;
Middle Aged;
Psychometrics;
Reproducibility of Results;
Self Care/psychology;
Surveys and Questionnaires/standards;
Translations;
Turkey
- From:Asian Nursing Research
2016;10(3):195-200
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To examine the psychometric properties of a Turkish version of the Diabetes Fear of Injecting and Self-testing Questionnaire (D-FISQ). METHODS: Forward-backward translation of the D-FISQ from English into Turkish was conducted. Original English and translated forms were examined by a panel group. Validity was investigated using content, confirmatory factor analysis, and divergent validity. Reliability was assessed using Cronbach α values, item-total correlations, and intraclass correlations. The sample comprised 350 patients with diabetes. Data were analyzed using SPSS 15.0 for Windows and LISREL 8. RESULTS: The content validity index for the panel members was .90, which indicated perfect content validity; items in D-FISQ were clear, concise, readable, and distinct. Confirmatory factor analysis confirmed the original construct of the D-FISQ. All items had factor loadings higher than the recommended level of .40. The D-FISQ scores were discriminated by the level of anxiety. Reliability results were also satisfactory. Cronbach α values were within ideal limits. Item-total correlation coefficient ranged from .72 to .86. In terms of test-retest reliability, intraclass correlation coefficient was found to be over .90. CONCLUSIONS: D-FISQ is a valid and reliable questionnaire in assessing needle-prick fear among Turkish patients with diabetes. We recommend performing the Turkish D-FISQ in determining and screening patients with diabetes who have fear related to self-insulin injection and finger-prick test. Thus, health care professionals should be aware of the potential consequences of injection fear such as insulin misuse and poor self-monitoring of blood glucose, which may have unfavorable effects on optimal diabetes management.
